Interstitial pregnancy: Difference between revisions
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{{Infobox medical condition | |||
| name = Interstitial pregnancy | |||
| image = [[File:The_science_and_art_of_midwifery_(1897)_(14740436436).jpg|250px]] | |||
| caption = Illustration of interstitial pregnancy | |||
| field = [[Obstetrics]] | |||
| synonyms = Cornual pregnancy | |||
| symptoms = [[Abdominal pain]], [[vaginal bleeding]] | |||
| complications = [[Rupture]], [[hemorrhage]], [[infertility]] | |||
| onset = Early [[pregnancy]] | |||
| duration = Varies | |||
| causes = Implantation of the [[embryo]] in the [[interstitial part]] of the [[fallopian tube]] | |||
| risks = Previous [[ectopic pregnancy]], [[tubal surgery]], [[in vitro fertilization]] | |||
| diagnosis = [[Ultrasound]], [[laparoscopy]] | |||
| differential = [[Ectopic pregnancy]], [[appendicitis]], [[ovarian cyst]] | |||
| prevention = None specific | |||
| treatment = [[Methotrexate]], [[surgical intervention]] | |||
| prognosis = Variable, depends on early detection and treatment | |||
| frequency = Rare, 2-4% of all [[ectopic pregnancies]] | |||
}} | |||
'''Interstitial pregnancy''' is a rare type of [[ectopic pregnancy]] where the [[embryo]] implants in the interstitial portion of the [[fallopian tube]]. This type of pregnancy is considered high risk due to the potential for [[rupture]] and life-threatening [[hemorrhage]]. | '''Interstitial pregnancy''' is a rare type of [[ectopic pregnancy]] where the [[embryo]] implants in the interstitial portion of the [[fallopian tube]]. This type of pregnancy is considered high risk due to the potential for [[rupture]] and life-threatening [[hemorrhage]]. | ||
== Causes == | == Causes == | ||
The exact cause of interstitial pregnancy is unknown, but it is thought to occur when the embryo is unable to travel down the fallopian tube and into the [[uterus]] as it normally would. This can be due to a number of factors, including [[pelvic inflammatory disease]], previous ectopic pregnancy, or [[tubal surgery]]. | The exact cause of interstitial pregnancy is unknown, but it is thought to occur when the embryo is unable to travel down the fallopian tube and into the [[uterus]] as it normally would. This can be due to a number of factors, including [[pelvic inflammatory disease]], previous ectopic pregnancy, or [[tubal surgery]]. | ||
== Symptoms == | == Symptoms == | ||
The symptoms of interstitial pregnancy are similar to those of other types of ectopic pregnancy and can include [[abdominal pain]], [[vaginal bleeding]], and [[shoulder tip pain]]. However, because the interstitial portion of the fallopian tube can expand more than other parts, symptoms may not appear until later in the pregnancy, often around the 12th week. | The symptoms of interstitial pregnancy are similar to those of other types of ectopic pregnancy and can include [[abdominal pain]], [[vaginal bleeding]], and [[shoulder tip pain]]. However, because the interstitial portion of the fallopian tube can expand more than other parts, symptoms may not appear until later in the pregnancy, often around the 12th week. | ||
== Diagnosis == | == Diagnosis == | ||
Interstitial pregnancy can be difficult to diagnose because it can appear similar to an intrauterine pregnancy on [[ultrasound]]. However, certain features on ultrasound, such as an empty uterus and a mass in the [[cornual region]] of the uterus, can suggest an interstitial pregnancy. A [[serum beta-hCG]] test can also be used to help diagnose an ectopic pregnancy. | Interstitial pregnancy can be difficult to diagnose because it can appear similar to an intrauterine pregnancy on [[ultrasound]]. However, certain features on ultrasound, such as an empty uterus and a mass in the [[cornual region]] of the uterus, can suggest an interstitial pregnancy. A [[serum beta-hCG]] test can also be used to help diagnose an ectopic pregnancy. | ||
== Treatment == | == Treatment == | ||
Treatment for interstitial pregnancy typically involves surgery to remove the pregnancy and repair the fallopian tube. This can often be done laparoscopically. In some cases, [[methotrexate]] may be used to stop the growth of the pregnancy. | Treatment for interstitial pregnancy typically involves surgery to remove the pregnancy and repair the fallopian tube. This can often be done laparoscopically. In some cases, [[methotrexate]] may be used to stop the growth of the pregnancy. | ||
== See also == | == See also == | ||
* [[Ectopic pregnancy]] | * [[Ectopic pregnancy]] | ||
* [[Tubal pregnancy]] | * [[Tubal pregnancy]] | ||
* [[Methotrexate]] | * [[Methotrexate]] | ||
[[Category:Obstetrics]] | [[Category:Obstetrics]] | ||
[[Category:Gynecology]] | [[Category:Gynecology]] | ||
[[Category:Pregnancy]] | [[Category:Pregnancy]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 21:17, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
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| Interstitial pregnancy | |
|---|---|
_(14740436436).jpg)
| |
| Synonyms | Cornual pregnancy |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Abdominal pain, vaginal bleeding |
| Complications | Rupture, hemorrhage, infertility |
| Onset | Early pregnancy |
| Duration | Varies |
| Types | N/A |
| Causes | Implantation of the embryo in the interstitial part of the fallopian tube |
| Risks | Previous ectopic pregnancy, tubal surgery, in vitro fertilization |
| Diagnosis | Ultrasound, laparoscopy |
| Differential diagnosis | Ectopic pregnancy, appendicitis, ovarian cyst |
| Prevention | None specific |
| Treatment | Methotrexate, surgical intervention |
| Medication | N/A |
| Prognosis | Variable, depends on early detection and treatment |
| Frequency | Rare, 2-4% of all ectopic pregnancies |
| Deaths | N/A |
Interstitial pregnancy is a rare type of ectopic pregnancy where the embryo implants in the interstitial portion of the fallopian tube. This type of pregnancy is considered high risk due to the potential for rupture and life-threatening hemorrhage.
Causes[edit]
The exact cause of interstitial pregnancy is unknown, but it is thought to occur when the embryo is unable to travel down the fallopian tube and into the uterus as it normally would. This can be due to a number of factors, including pelvic inflammatory disease, previous ectopic pregnancy, or tubal surgery.
Symptoms[edit]
The symptoms of interstitial pregnancy are similar to those of other types of ectopic pregnancy and can include abdominal pain, vaginal bleeding, and shoulder tip pain. However, because the interstitial portion of the fallopian tube can expand more than other parts, symptoms may not appear until later in the pregnancy, often around the 12th week.
Diagnosis[edit]
Interstitial pregnancy can be difficult to diagnose because it can appear similar to an intrauterine pregnancy on ultrasound. However, certain features on ultrasound, such as an empty uterus and a mass in the cornual region of the uterus, can suggest an interstitial pregnancy. A serum beta-hCG test can also be used to help diagnose an ectopic pregnancy.
Treatment[edit]
Treatment for interstitial pregnancy typically involves surgery to remove the pregnancy and repair the fallopian tube. This can often be done laparoscopically. In some cases, methotrexate may be used to stop the growth of the pregnancy.
